SOZO WELLNESS CENTERS OF AMERICA LLC – NPI #1386399285
Clinic/Center

SOZO WELLNESS CENTERS OF AMERICA LLC is an AHC clinic located in NEWARK, DE. NPPES has assigned the NPI number 1386399285 to SOZO WELLNESS CENTERS OF AMERICA LLC on February 18, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 3 years ago on Nov 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOZO WELLNESS CENTERS OF AMERICA LLC below.

NPI Profile for
SOZO WELLNESS CENTERS OF AMERICA LLC

NPI Number
1386399285
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOZO WELLNESS CENTERS OF AMERICA LLC
Primary location
100 BIDDLE AVE STE 204
NEWARK, DE 19702-3981
Phone: (678) 296-0842 Fax: (770) 671-1951
1 Other location(s):
100 Biddle Ave Ste 204
Newark, DE 19702-3981
Phone: (678) 296-0842
Fax: (770) 671-1951
Mailing address
2805 PEACHTREE INDUSTRIAL BLVD STE 213
DULUTH, GA 30097-8171
Phone: (678) 296-0842 Fax: (770) 671-1951
Organization Subpart
No
Authorized Official
RONALD TYREE
PMHNP
Phone: (678) 296-0842
Updated
Certification Date
Nov 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.